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一例可能因鸟类感染导致多杀巴斯德菌感染的慢性支气管炎病例

[A case of chronic bronchitis with Pasteurella multocida possibly resulting from infection from a bird].

作者信息

Nakajima M, Nakahama C, Hino J, Sumi I, Umeki S, Niki Y, Soejima R

出版信息

Nihon Kyobu Shikkan Gakkai Zasshi. 1989 Jun;27(6):742-6.

PMID:2677461
Abstract

A 60-year-old woman was admitted to our division for further evaluation of fever and purulent sputa. In sputum cultures performed when the patient had complained of an increase in symptoms on three occasions during the previous 6 months, Pasteurella multicoida was usually detected. Based on the fact that the bacteria had been detected from the patient's sputa after feeding a macaw, but was not detected after treatment of the bird with OFLX, a diagnosis of respiratory tract infection by P. multocida was made. Clinical symptoms and laboratory data of the patient were markedly improved after treatment with cefaclor (750 mg/d). The bacteria in this case were sensitive toward many antibiotics. This case was considered to be the first case of bird-mediated Pasteurella infection.

摘要

一名60岁女性因发热和脓性痰被收治入我科进一步评估。在患者前6个月中有3次症状加重时进行的痰培养中,通常检测到多杀巴斯德菌。基于在喂养金刚鹦鹉后从患者痰液中检测到该细菌,但在用氧氟沙星治疗该鸟后未检测到该细菌这一事实,做出了多杀巴斯德菌呼吸道感染的诊断。用头孢克洛(750mg/d)治疗后,患者的临床症状和实验室数据明显改善。该病例中的细菌对多种抗生素敏感。该病例被认为是首例鸟类介导的巴斯德菌感染病例。

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